Erika Ballard
Individual provider Active NPI General Practice Registered Nurse · Villa Rica, GA
NPI 1194476655 · NPPES record last updated Jan 15, 2022
Key facts
- NPI
- 1194476655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- RN25167 (GA)
- Practice address
- 220 Wentworth Cir
Villa Rica, GA 30180-7229 - Phone
- (267) 666-4753
- NPI assigned
- Jan 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN25167 | GA | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Go Labs LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN25167 | GA | Yes |
Addresses
Primary practice location
220 Wentworth Cir
Villa Rica, GA 30180-7229
Mailing address
220 Wentworth Cir
Villa Rica, GA 30180-7229
Other providers in Villa Rica, GA
- Atrianon, LLC
- Edwidge Azor-Antoine
- Elizabeth Grace Babcock
- George W Bailey
- Jennifer Bailey
- Bankhead Chiropractic
- Golden Barnett III
- John T Bassett V
- Brittany A Bates
- Mary Rachel Baxter
All providers in Villa Rica, GA · General Practice Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.